Prognostic significance of the genetic and the immunohistochemical expression of epithelial-mesenchymal-related markers in colon cancer

BACKGROUND: Epithelial-mesenchymal transition (EMT) is one of the main events in colorectal cancer(CRC) spread. Snail-1 is a zinc transcription factor that mediates EMT in tumor cells probably by down-regulation of E-cadherin and claudin-1. OBJECTIVES: To detect the expression of epithelial markers...

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Veröffentlicht in:Cancer biomarkers : section A of Disease markers 2017-07, Vol.20 (1), p.107-122
Hauptverfasser: Rashed, Hayam E., Hussein, Samia, Mosaad, Hala, Abdelwahab, Mai M., Abdelhamid, Mohamed I., Mohamed, Salem Y., Mohamed, Abdel Motaleb, Fayed, Alaa
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container_end_page 122
container_issue 1
container_start_page 107
container_title Cancer biomarkers : section A of Disease markers
container_volume 20
creator Rashed, Hayam E.
Hussein, Samia
Mosaad, Hala
Abdelwahab, Mai M.
Abdelhamid, Mohamed I.
Mohamed, Salem Y.
Mohamed, Abdel Motaleb
Fayed, Alaa
description BACKGROUND: Epithelial-mesenchymal transition (EMT) is one of the main events in colorectal cancer(CRC) spread. Snail-1 is a zinc transcription factor that mediates EMT in tumor cells probably by down-regulation of E-cadherin and claudin-1. OBJECTIVES: To detect the expression of epithelial markers (claudin-1 and E-cadherin) and mesenchymal markers (snail-1 and vimentin) in primary cancer colon. Also, to select stage II cancer patients of a high risk that can benefit from postoperative adjuvant chemotherapy. METHODS: Reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemical analysis were performed to investigate snail-1, claudin-1, E-cadherin and vimentin expressions at mRNA and protein levels in fresh tissues of cancer colon and normal colonic mucosa. The correlations between the expression of these markers and clinicopathological parameters were performed. RESULTS: Normal colonic mucosa revealed complete membranous expression of claudin-1, preserved E-cadherin and negative snail-1 and vimentin expressions. Compared to control, the expression of snail-1 and vimentin mRNA in cancer colon was significantly up-regulated while the expression of claudin-1 and E-cadherin mRNA was significantly down-regulated. These changes were significantly associated with stage and lymph node involvement at both mRNA and protein levels( p < 0.05). There were significant negative correlations between vimentin and each of E-cadherin and claudin-1 gene expression and between snail-1 and each of E-cadherin and claudin-1 gene expression. Moreover, these changes were independent predictors of recurrence of stage II cancer colon cases. CONCLUSION: There is a clinical significance of snail-1, claudin-1, E-cadherin and vimentin as possible markers for recognizing patients with lymph node involvement, advanced stage and high incidence of tumor recurrence in cancer colon.
doi_str_mv 10.3233/CBM-170034
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Snail-1 is a zinc transcription factor that mediates EMT in tumor cells probably by down-regulation of E-cadherin and claudin-1. OBJECTIVES: To detect the expression of epithelial markers (claudin-1 and E-cadherin) and mesenchymal markers (snail-1 and vimentin) in primary cancer colon. Also, to select stage II cancer patients of a high risk that can benefit from postoperative adjuvant chemotherapy. METHODS: Reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemical analysis were performed to investigate snail-1, claudin-1, E-cadherin and vimentin expressions at mRNA and protein levels in fresh tissues of cancer colon and normal colonic mucosa. The correlations between the expression of these markers and clinicopathological parameters were performed. RESULTS: Normal colonic mucosa revealed complete membranous expression of claudin-1, preserved E-cadherin and negative snail-1 and vimentin expressions. Compared to control, the expression of snail-1 and vimentin mRNA in cancer colon was significantly up-regulated while the expression of claudin-1 and E-cadherin mRNA was significantly down-regulated. These changes were significantly associated with stage and lymph node involvement at both mRNA and protein levels( p &lt; 0.05). There were significant negative correlations between vimentin and each of E-cadherin and claudin-1 gene expression and between snail-1 and each of E-cadherin and claudin-1 gene expression. Moreover, these changes were independent predictors of recurrence of stage II cancer colon cases. CONCLUSION: There is a clinical significance of snail-1, claudin-1, E-cadherin and vimentin as possible markers for recognizing patients with lymph node involvement, advanced stage and high incidence of tumor recurrence in cancer colon.</description><identifier>ISSN: 1574-0153</identifier><identifier>EISSN: 1875-8592</identifier><identifier>DOI: 10.3233/CBM-170034</identifier><identifier>PMID: 28759954</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Biomarkers, Tumor - genetics ; Biomarkers, Tumor - metabolism ; Cadherins - genetics ; Cadherins - metabolism ; Cancer ; Chemotherapy ; Claudin-1 - genetics ; Claudin-1 - metabolism ; Colon ; Colon cancer ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - genetics ; Colorectal Neoplasms - metabolism ; Colorectal Neoplasms - surgery ; E-cadherin ; Epithelial-Mesenchymal Transition - genetics ; Female ; Gene expression ; Gene Expression Regulation, Neoplastic ; Health risks ; Humans ; Lymph ; Lymph nodes ; Lymphatic system ; Male ; Markers ; Mesenchyme ; Middle Aged ; Mucosa ; Neoplasm Recurrence, Local ; Patients ; Polymerase chain reaction ; Prognosis ; Reverse transcription ; Snail Family Transcription Factors - genetics ; Snail Family Transcription Factors - metabolism ; Tissues ; Tumor cells ; Vimentin ; Vimentin - genetics ; Vimentin - metabolism ; Young Adult ; Zinc</subject><ispartof>Cancer biomarkers : section A of Disease markers, 2017-07, Vol.20 (1), p.107-122</ispartof><rights>IOS Press and the authors. 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Snail-1 is a zinc transcription factor that mediates EMT in tumor cells probably by down-regulation of E-cadherin and claudin-1. OBJECTIVES: To detect the expression of epithelial markers (claudin-1 and E-cadherin) and mesenchymal markers (snail-1 and vimentin) in primary cancer colon. Also, to select stage II cancer patients of a high risk that can benefit from postoperative adjuvant chemotherapy. METHODS: Reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemical analysis were performed to investigate snail-1, claudin-1, E-cadherin and vimentin expressions at mRNA and protein levels in fresh tissues of cancer colon and normal colonic mucosa. The correlations between the expression of these markers and clinicopathological parameters were performed. RESULTS: Normal colonic mucosa revealed complete membranous expression of claudin-1, preserved E-cadherin and negative snail-1 and vimentin expressions. Compared to control, the expression of snail-1 and vimentin mRNA in cancer colon was significantly up-regulated while the expression of claudin-1 and E-cadherin mRNA was significantly down-regulated. These changes were significantly associated with stage and lymph node involvement at both mRNA and protein levels( p &lt; 0.05). There were significant negative correlations between vimentin and each of E-cadherin and claudin-1 gene expression and between snail-1 and each of E-cadherin and claudin-1 gene expression. Moreover, these changes were independent predictors of recurrence of stage II cancer colon cases. 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer biomarkers : section A of Disease markers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Rashed, Hayam E.</au><au>Hussein, Samia</au><au>Mosaad, Hala</au><au>Abdelwahab, Mai M.</au><au>Abdelhamid, Mohamed I.</au><au>Mohamed, Salem Y.</au><au>Mohamed, Abdel Motaleb</au><au>Fayed, Alaa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic significance of the genetic and the immunohistochemical expression of epithelial-mesenchymal-related markers in colon cancer</atitle><jtitle>Cancer biomarkers : section A of Disease markers</jtitle><addtitle>Cancer Biomark</addtitle><date>2017-07-19</date><risdate>2017</risdate><volume>20</volume><issue>1</issue><spage>107</spage><epage>122</epage><pages>107-122</pages><issn>1574-0153</issn><eissn>1875-8592</eissn><abstract>BACKGROUND: Epithelial-mesenchymal transition (EMT) is one of the main events in colorectal cancer(CRC) spread. Snail-1 is a zinc transcription factor that mediates EMT in tumor cells probably by down-regulation of E-cadherin and claudin-1. OBJECTIVES: To detect the expression of epithelial markers (claudin-1 and E-cadherin) and mesenchymal markers (snail-1 and vimentin) in primary cancer colon. Also, to select stage II cancer patients of a high risk that can benefit from postoperative adjuvant chemotherapy. METHODS: Reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemical analysis were performed to investigate snail-1, claudin-1, E-cadherin and vimentin expressions at mRNA and protein levels in fresh tissues of cancer colon and normal colonic mucosa. The correlations between the expression of these markers and clinicopathological parameters were performed. RESULTS: Normal colonic mucosa revealed complete membranous expression of claudin-1, preserved E-cadherin and negative snail-1 and vimentin expressions. Compared to control, the expression of snail-1 and vimentin mRNA in cancer colon was significantly up-regulated while the expression of claudin-1 and E-cadherin mRNA was significantly down-regulated. These changes were significantly associated with stage and lymph node involvement at both mRNA and protein levels( p &lt; 0.05). There were significant negative correlations between vimentin and each of E-cadherin and claudin-1 gene expression and between snail-1 and each of E-cadherin and claudin-1 gene expression. Moreover, these changes were independent predictors of recurrence of stage II cancer colon cases. CONCLUSION: There is a clinical significance of snail-1, claudin-1, E-cadherin and vimentin as possible markers for recognizing patients with lymph node involvement, advanced stage and high incidence of tumor recurrence in cancer colon.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28759954</pmid><doi>10.3233/CBM-170034</doi><tpages>16</tpages></addata></record>
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subjects Adult
Aged
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Cadherins - genetics
Cadherins - metabolism
Cancer
Chemotherapy
Claudin-1 - genetics
Claudin-1 - metabolism
Colon
Colon cancer
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - genetics
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - surgery
E-cadherin
Epithelial-Mesenchymal Transition - genetics
Female
Gene expression
Gene Expression Regulation, Neoplastic
Health risks
Humans
Lymph
Lymph nodes
Lymphatic system
Male
Markers
Mesenchyme
Middle Aged
Mucosa
Neoplasm Recurrence, Local
Patients
Polymerase chain reaction
Prognosis
Reverse transcription
Snail Family Transcription Factors - genetics
Snail Family Transcription Factors - metabolism
Tissues
Tumor cells
Vimentin
Vimentin - genetics
Vimentin - metabolism
Young Adult
Zinc
title Prognostic significance of the genetic and the immunohistochemical expression of epithelial-mesenchymal-related markers in colon cancer
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